-
How do organisms reach the lungs?
Blood, Inhalation, Aspiration, Penetration-via trauma
BIAP-trauma
-
What are the most common pulmonary presenting symptoms?
Chronic Cough, Hemoptysis, Dyspnea
-
A cough must be present for ____ to be considered chronic.
-
Common causes of chronic cough?
Smoking, Asthma, Post Nasal Drip & GERD
-
Bronchiectasis
- Chronic dilation of portions of bronchial tree, through the breakdown
- of bronchial walls resulting in local cavitations
-
Priority when evaluating hemoptysis?
ID the SOURCE!
-
Causes of bleeding from LOWER Resp. Tract ?
Infection, Cancer, CHF, Pulmonary Embolism
-
Clubbing of fingers can indicate...
Lung cancer & chronic infection
-
Common causes of Shortness of Breath
CHF, COPD, Asthma, Anemia
-
CHF, COPD, Asthma, Anemia
-
CONSTRICTION of airways + WHEEZING upon auscultation would be?
-
-
2 major COPD entities
Chronic Bronchitis & Emphysema
-
On average COPD Pt’s have exacerbations ____ times a year.
-
-
Classes of drugs useful in tx of asthma & COPD?
Inhaled bronchodilators & Inhaled or Oral Corticosteroids
-
2 drugs that should be AVOIDED in ASTHMATICS
ASA & Beta Blockers
-
Status Asthmaticus
Pt in continuous asthma state despite adequate drug therapy .
-
Every pt Dx w/ COPD should be vaccinated against...
Influenza & Pneumococcus
-
ACUTE Bronchitis etiology ?
Viral (in most cases)
(I.E. Rhinovirus, Coronavirus, Flu A&B, Adenovirus, Parainfluenza, Coxsackievirus)
-
Chief characteristic of Pneumonia ?
Crackles on auscultation
-
CAP most common cause?
Streptococcus Pneumoniae (Pneumococcus)
-
Pneumonia
Acute inflammation of the terminal airways, alveoli & interstitium, usually a result of infection
-
Persons @ greater risk of Pulmonary Embolism are?
Female who smokes & is on oral contraceptives, Post surgical/bed-ridden pt., post long bone/hip fracture
-
Key sign of Adult Respiratory Distress Syndrome
Hypoxemia despite O2 Therapy
-
Pleurisy = stimulation of pain fibers in parietal pleura, 2ndary to inflammation =
treat with analgesics/anti-inflammatory for pain, codeine for cough, intercostals nerve block, FIX UNDERLYING DISEASE
- FIX UNDERLYING DISEASE
- Treat with analgesics/anti-inflammatory for pain, Codeine for cough,
- Intercostals nerve block
-
Name the classifications of Pulmonary Drugs
- Bronchodilators
- Anti-Histamines
- Decongestants
- Anti-Tussives
- Xanthines
- Expectorant
- Corticosteroids
- Anti-Cholinergics
- Leukotrine Antagonists
- Cromolyn Sodium
|
|
